DANIEL J STADDLER (MD) – Family Medicine Physician, NPI 1063467652

DANIEL J STADDLER (MD) is a healthcare provider. based in Janesville, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 40820-020 (WI). The NPI Number for DANIEL J STADDLER (MD) is 1063467652

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL J STADDLER (MD)
NPI
1063467652
Phone
(608) 371-8000
Address
3200 E RACINE ST
Enumeration Date
23 May 2006
Last Update Date
12 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6089162600
Graduation Year
1991 (35 years ago)
PAC ID
5799826699
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20100113000634
Address ID
WI535462341JA500XXCTXX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
dstaddler260193@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,047 FAMILY PRACTICE in WI

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Provider Addresses for DANIEL J STADDLER (MD)

  • 3200, East Racine Street, Janesville, Rock County, Wisconsin, 53546, United States

    JANESVILLE, WI 535462343

    Phone: (608) 371-8000

    Fax: (608) 371-8938

    Type: Location

  • 225 CHURCH ST

    STOUGHTON, WI 535891801

    Phone: (608) 877-2777

    Fax: (608) 877-2726

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100113000634IFamily PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5656$0
36415Insertion of needle into vein for collection of blood sample5028$0
99214Established patient office or other outpatient visit, 30-39 minutes4444$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1313$0
View full utilization report →

Insurance plans in this area (ZIP 53546)

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Provider's Procedures

DANIEL J STADDLER (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWI85610Blood test, clotting time5820
FAMILY MEDICINEWI90670Pneumococcal vaccine for injection into muscle1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608785464View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA

Reviews

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Frequently asked questions

How do payers reference DANIEL J STADDLER (MD)?
For DANIEL J STADDLER (MD), use NPI 1063467652 as the unique 10-digit identifier.
Is there an active status for DANIEL J STADDLER (MD)?
For scheduling context, DANIEL J STADDLER (MD) is shown as active in the registry.
What area of care is associated with DANIEL J STADDLER (MD)?
DANIEL J STADDLER (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DANIEL J STADDLER (MD) registered?
Use Janesville, Wisconsin as the headline location for DANIEL J STADDLER (MD) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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